In this podcast, I am joined by Ryan Arnold M.D. and Muga Capan Ph.D. who are directing our newly formed Center for Healthcare Analytics and Decision Science. They put together a graduate student team of Andrew Armstrong, Devanshi Dholakia, Karen Nwal, Karan Gandhi, Mallika Mhapankar, Matthew Shaw, Mihir Chheda, Parth Girme, Sharath Chandra, Zoya Khalife to analyze the hospital rapid response database created by EM Resident Mark Ramzy MD. Their goal was to use decision science tools to try to determine if there was a pattern that predicted early v late rapid response in patients admitted through the ED. The hope was that characteristics, identifiable in the ED, could predict who would deteriorate early. There was a pattern – but not what you’d expect! Listen in to find out more!

What does this month’s journal club have to do with astrophysics? Want to grasp the literature for this month’s journal club and get inside what the attendings are thinking about analgesics, stroke therapy, and PE prevalence? Listen to this month’s podcast!

In this video cast I try to sort through some of the differences between a simple CHF exacerbation and acute decompensated heart failure. I discuss the wet/dry warm/cold approach, use of BNP and NTproBNP in decision making, high dose nitro, ACE inhibitors, BiPAP, and the proper timing of diuretics.

“The Road to Character” by David Brooks. As an academic physician climbing my “second mountain”, I am really connecting with the message this book offers. I was moved and inspired by his talk at #AAMC2017

The old 6 hour rule to differentiate mushrooms with limited toxicity (early i.e. < 6 hr GI symptoms) from those that cause serious end organ damage (late >6 hr GI symptoms) has been busted by the recognition of two additional mushrooms that cause both early GI symptoms and late end organ toxicity. Furthermore, another mushroom has been added to the group with late GI symptoms and delayed end organ damage. Hope this mnemonic and vodcast will help sort them out for you!

Dr. David Vearrier, Program Director Medical Toxicology Fellowship Drexel University College of Medicine, joins me to discuss the physiology of opioid withdrawal and approaches to treatment including suboxone and other approaches.